Individual
DONALD STEVEN LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
12240 HESPERIA RD STE A, VICTORVILLE, CA 92395-8309
(760) 245-8837
Mailing address
12240 HESPERIA RD STE A, VICTORVILLE, CA 92395-8309
(760) 245-8837
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
290085
CA
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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